Journal of Life Science (생명과학회지)

Korean Society of Life Science (한국생명과학회)
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Effect of Abdominal Respiration on the Electrical Axis of ECG in Young Adults

복식호흡이 젊은 성인의 심전도축에 미치는 영향

  • Youn, Ryea-Min (Department of Biomedical Laboratory Science, Center of Smart Foods and Drugs, Inje University) ;
  • Kim, Young-Sik (Department of Biomedical Laboratory Science, Center of Smart Foods and Drugs, Inje University) ;
  • Yoon, Im-Sil (Department of Biomedical Laboratory Science, Center of Smart Foods and Drugs, Inje University) ;
  • Jung, Han-Na (Department of Biomedical Laboratory Science, Center of Smart Foods and Drugs, Inje University) ;
  • Nam, Jeong-Su (Department of Biomedical Laboratory Science, Center of Smart Foods and Drugs, Inje University) ;
  • Yoon, Joong-Soo (Department of Biomedical Laboratory Science, Center of Smart Foods and Drugs, Inje University) ;
  • Lee, Won-Joon (Department of Medical Laboratory Science, Sorabol College) ;
  • Choi, Hyun-Ju (Department of Biomedical Laboratory Science, Center of Smart Foods and Drugs, Inje University)
  • 윤려민 (인제대학교 임상병리학과 식의약생명공학센터) ;
  • 김영식 (인제대학교 임상병리학과 식의약생명공학센터) ;
  • 윤임실 (인제대학교 임상병리학과 식의약생명공학센터) ;
  • 정한나 (인제대학교 임상병리학과 식의약생명공학센터) ;
  • 남정수 (인제대학교 임상병리학과 식의약생명공학센터) ;
  • 윤중수 (인제대학교 임상병리학과 식의약생명공학센터) ;
  • 이원준 (서라벌대학 임상병리과) ;
  • 최현주 (인제대학교 임상병리학과 식의약생명공학센터)
  • Received : 2010.02.01
  • Accepted : 2010.03.08
  • Published : 2010.05.31
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Abstract

The effect of abdominal respiration on electrocardiogram readings was examined using a 12-lead ECG in healthy young adults. Ten males and ten females without any cardiac and/or pulmonary problems participated in this study. ECG readings during periods of abdominal respiration and thoracic respiration were compared using a paired t-test. Results showed that the PR interval was longer in males compared to females during the period of abdominal respiration (p<0.05). There were no differences in amplitudes of the P, R, T waves, QTc, and degree of P axis between abdominal respiration and thoracic respiration in both male and female subjects. However, degrees of QRS axis in male subjects (p<0.05) and T axis (p<0.05) in female subjects were increased during the abdominal respiration. Therefore, abdominal respiration may cause positive electrical axis changes in the depolarization and relaxing re-polarization of the ventricles.

복식호흡은 혈압의 하강이나 심리적 진정 효과를 위한 이완 요법으로 사용되고 있는데, 이는 복식호흡이 자율신경계에 영향을 미치기 때문이다. 그러나 복식호흡으로 인한 심장의 전위 변화에 대해서는 연구가 전무하다. 따라서 본 연구에서는 복식호흡을 할 때에 심전도상의 변화를 건강한 젊은 남자 10명(평균$22.40{\pm}2.5$세)과 여자 10명(평균 $20.9{\pm}0.9$세)을 대상으로 알아보고자 하였다. 본 연구의 결과, P, R, T 진폭과, QTc 간격이 남녀 모두에서 복식호흡과 흉식호흡간의 차이가 없었다. 그러나 복식호흡 시에 PR 간격은 남자가 여자보다 유의하게 길었다. 심장 전기축에서 P축은 호흡 방식에 따라서 영향을 받지 않았으나, 남자에서는 복식호흡에서 심장의 QRS축이 증가하였고, 여자는 T 전기축이 증가하였다. 따라서 복식호흡은 심실이 탈분극과 이완되는 재분극 시의 전기축에 유의한 영향을 미치는 것으로 나타났다.

Keywords

References

  1. Borden, H. H. and M. A. Ibrahim. 1970. The epidemiology of the QRS axis measurement. Am. J. Public Health Nations Health 60, 722-730. https://doi.org/10.2105/AJPH.60.4.722
  2. Byun, J. N., M. A. Kim, I. L. Choi, M. H. Lee, I. S. Surh, and S. Chung. 1996. Psycho-neuro immunological effect of a Korean traditional health culture, Danjeon Abdominal Breathing Session. Korean Journal of Stress Research 4, 41-56.
  3. Calatayud, J. B., J. M. Abad, N. B. Khoi, and H. M. Silver. 1969. Analysis of the atrial T wave in patients with chronic obstructive pulmonary disease. Chest 56, 5-9. https://doi.org/10.1378/chest.56.1.5
  4. Chang, S. B., H. S. Kim, Y. H. Ko, C. H. Bae, and S. E. An. 2009. Effecrs of abdominal breathing on anxiety, blood pressure, peripheral skin temperature and saturation oxygen of pregnant women in preterm labor. Korean J. WomenHealth Nurs. 15, 32-42. https://doi.org/10.4069/kjwhn.2009.15.1.32
  5. Choi, Y. G. and Y. B. Kim. 1997. Effects of Dan-Jeon breathing on anxiety heart rate, blood pressure, and EEG. Korean Journal of Sport Psychology 8, 45-55.
  6. Dubey, R. K., S. Oparil, B. Imthurn, and E. K. Jackson. 2002. Sex hormones and hypertension. Cardiovasc. Res. 53, 688-708. https://doi.org/10.1016/S0008-6363(01)00527-2
  7. Einthoven, W., G. Fahr, and D. A. Waart. 1950. On the direction and manifest size of the variations of potential in the human heart and on the influence of the position of the heart on the form of the electrocardiogram. Am. Heart J. 40, 163-211. https://doi.org/10.1016/0002-8703(50)90165-7
  8. Friedman, H. and S. Booth-Kewley. 1987. The "diseaseprone personality". A meta-analytic view of the construct. Am. Psychol. 42, 539-555. https://doi.org/10.1037/0003-066X.42.6.539
  9. Gallego, J., S. Benammou, G. Vardon, B. Chambille, A. Denjean, and H. Lorino. 1997. Influence of thoracoabdominal pattern of breathing on respiratory resistance. Respir. Physiol. 108, 143-152. https://doi.org/10.1016/S0034-5687(97)00021-2
  10. Grossman, P. 1983. Respiration, stress, and cardiovascular function. Psychophysiology 20, 283-300. https://doi.org/10.1111/j.1469-8986.1983.tb02155.x
  11. Hong, K. P. 2002. Breathing and health. Journal of Kouksun 23, 41-44.
  12. Hughes, R. L. 1979. Does abdominal breathing affect regional gas exchange? Chest 76, 288-293. https://doi.org/10.1378/chest.76.3.288
  13. Ji, C. H., T. I. Kim, and M. S. Ha. 2007. Effect of 4-weeks Dan-Jeon Breathing training on dynamic pulmonary function. The Korea Journal of Sports Science 16, 559-565.
  14. Kim, M. S., J. H. Yang, and H. R. Sung. 2005. Effects of yoga based on breathing and asanaga on pulmonary function and functional fitness in middle-aged women. J. Sport and Leisure Studies 25, 277-286.
  15. Kim, Y. I., I. Y. Paik, H. E. Jin, A. R. Suh, Y. S. Kwak, and J. Woo. 2009. Effects of 12 week regular aerobic exercise on ST-segment and QTc interval in type 2 diabetes mellitus patients. J. Life Science 19, 81-86. https://doi.org/10.5352/JLS.2009.19.1.081
  16. Ko, Y. S. and J. H. Kim. 2000. The effect of the voluntary respiratory control on the recovery time after the practice. The Korean Journal of Physical Education 14, 567-573.
  17. Kors, J. A., M. C. D. Bruyne, A. W. Hoes, G. V. Herpen, A. Hofman, J. H. V. Bemmel, and D. E. Grobbee. 1998. T axis as an indicator of risk of cardiac events in elderly people. Lancet 352, 601-605. https://doi.org/10.1016/S0140-6736(97)10190-8
  18. Kulur, A. B., N. Haleagrahara, P. Adhikary, and P. S. Jeganathan. 2009. Effect of diaphragmatic breathing on heart rate variability in ischemic heart disease with diabetes. Arq. Bras. Cardiol. 92, 423-429.
  19. Lee, P. S. 1999. Theoretical bases and technical application of breathing therapy in stress management. J. Korean Acad. Nurs. 29, 1304-1313.
  20. Manocha, R. 2000. Why meditation. Aust. Fam. Physician. 29, 1135-1138.
  21. Mihalick, M. and C. Fisch. 1974. Electrocardiographic findings in the aged. Am. Heart J. 87, 117-128. https://doi.org/10.1016/0002-8703(74)90400-1
  22. Rissanen, V., H. Raunio, and E. Lampainen. 1976. Mean electrical QRS axis on the frontal plane in electrocardiograms of middle-aged and elderly hospital patients. Ann. Clin. Res. 8, 359-367.
  23. Rowlands, D. 1978. Electrocardiography: the electrical axis. Br. J. Hosp. Med. 19, 472-481.
  24. Silverberg, S. 1966. A quantitative study of the Frank vectorcardiogram. A comparison of younger and older normal populations. Am. J. Cardiol. 18, 672-681. https://doi.org/10.1016/0002-9149(66)90084-1
  25. Spodick, D. H. 1959. Electrocardiographic studies in pulmonary disease. II. Establishment of criteria for the electrocardiographic inference of diffuse lung diseases. Circulation 20, 1073-1074. https://doi.org/10.1161/01.CIR.20.6.1073
  26. Thomas, H. M., J. M. J. Spicer, and W. P. Nelson. 1973. Evaluation of P wave axis in distinguishing anatomical site of atrial septal defect. Br. Heart J. 35, 738-742. https://doi.org/10.1136/hrt.35.7.738
  27. Torbal, A. D., J. A. Kors, G. V. Herpen, S. Meij, S. Nelwan, M. L. Simoons, and E. Boersma. 2004. The electrical T-axis and the spatial QRS-T angle are independent predictors of long-term mortality in patients admitted with acute ischemic chest pain. Cardiology 101, 199-207. https://doi.org/10.1159/000076697
  28. Wexler, L., D. H. Bergel, I. T. Gabe, G. S. Makin, and C. J. Mills. 1968. Velocity of blood flow in normal human Venae Cavae. Circulation 23, 349-359. https://doi.org/10.1161/01.RES.23.3.349
  29. Yu, S. J. and M. S. Song. 2001. The effects of abdominal relaxed breathing training on stress response and blood pressure for elderly hypertension patient. J. Korean Acad. Nurs. 31, 998-1011.